PT APPS Flashcards
Your patient with Parkinson’s disease was prescribed levodopa. The side effects of the drug are the
following EXCEPT
a. arrhythmias
b. gastrointestinal distress
c. orthostatic hypotension
d. impaired visual accommodation
d. impaired visual accommodation
In behavior therapy, this is a process where learning occurs when an individual engages in specific
behaviors in order to receive certain consequences. Examples of this include positive reinforcement,
extinction and punishment.
a. Operant conditioning
b. Role playing
c. Flooding
d. Modeling
a. Operant conditioning
A 29-year old male with a history of schizophrenia, disorganized type, is referred for ambulation after
a femoral fracture. Patient recently had an exacerbation of the condition. PT will expect this behavior
from patient ______.
a. Feelings of low self-esteem
b. Poor ability to perform tasks that need abstract problem solving
c. Sleep disturbance and flashbacks
d. Increased fear of crowd
b. Poor ability to perform tasks that need abstract problem solving
A PT observes an electrocardiogram of a patient on beta-blockers. Which of the following
electrocardiogram changes could be facilitated by beta-blockers?
a. premature ventricular contractions
b. sinus bradycardia
c. ST segment sagging
d. sinus tachycardia
b. sinus bradycardia
A patient with left sided CHF class II, is referred for physical therapy. During exercises, the patient can
be expected to exhibit _________________.
a. Anorexia, nausea with abdominal pain and distension
b. Dyspnea with fatigue and muscular weakness
c. Severe, uncomfortable chest pain with shortness of breath
d. Weight gain with dependent edema
b. Dyspnea with fatigue and muscular weakness
Pain in the calf aggravate by walking and elevation of the lower extremity is MOST LIKELY caused by
___________________.
a. Arterial insufficiency
b. Sciatica
c. Venous insufficiency
d. Lymphedema
a. Arterial insufficiency
Sudden muscle cramps brought on by exertion and relieved by rest describes this condition.)
a. Embolic occlusion
b. Thrombophlebitis
c. Lymphedema
d. Claudication
d. Claudication
Your patient is a 65-year-old female diagnosed with venous problem. The following therapeutic
procedures are usually indicated to prevent progression of condition EXCEPT: _____________.
a. Patient with problems in the lower extremities should be encouraged to walk, run, rise on toes
b. Electric stimulation is not recommended
c. Gentle massage can be given to move the stagnant blood and relieve the pressure
d. Intermittent pneumatic compression treatments are commonly given, often followed by
exercises
b. Electric stimulation is not recommended
A PT is treating a 39-year-old female diagnosed with thoracic outlet syndrome. During exercise, the
patient begins to complain of light headedness and dizziness. PT immediately takes patient to a chair
and monitors her vital signs. Her respiration rate is 11 breaths per minute, pulse rate 50 beats per
minute and BP 120/85 mmHg. Which of the following statements is MOST accurate?
a. Pulse rate and respiration rate are below normal levels
b. The patient’s vital signs are within normal levels
c. Pulse rate and BP are above normal levels
d. BP and respiration rate are above normal levels
a. Pulse rate and respiration rate are below normal levels
A 70-year-old patient with a history of hypertension and hyperlipidemia comes to therapy confused
and has shortness of breath and generalized weakness. You will suspect that the patient
________________.
a. Is experiencing unstable angina
b. Is showing signs of early Alzheimer’s disease
c. Failed to take prescribed hypertension medication
d. Is showing early signs of myocardial infarction
d. Is showing early signs of myocardial infarction
A PT employee of a rehabilitation center of a hospital evaluates a patient showing several signs and
symptoms of anemia. Which of these questions would be the MOST useful to gather additional
information in relation to anemia?
a. Does it hurt to take a deep breath?
b. Are you susceptible to bruising?
c. Do you frequently experience dizziness, headaches or blurred vision?
d. Do you experience heart palpations or shortness of breath at rest or with mild exertion?
d. Do you experience heart palpations or shortness of breath at rest or with mild exertion?
A patient was referred to PT with fingertips that are rounded and bulbous. The nail plate is more
convex than normal. These changes were considered by the PT as indicating __________.
a. Trauma to the nail bed
b. Inflammation of the proximal and lateral nail folds
c. Psoriasis
d. Chronic hypoxia from heart disease
d. Chronic hypoxia from heart disease
Many of patients seen in physical therapy are susceptible to excessive heat exposure. Heat exhaustion
occurs when a person is exposed to more heat than the thermoregulatory mechanisms are capable of
controlling. Although it rarely occurs in pure forms, it can be categorized as any of the following
EXCEPT ______________ heat exhaustion
a. Exercise induced (heat syncope)
b. Salt exhaustion
c. Protein depletion
d. Water-depletion
c. Protein depletion
A patient with a left sided congestive heart failure, class II, is referred to PT. while exercising, patient
may exhibit ____________.
a. Weight gain with dependent edema
b. Anorexia, nausea with abdominal pain and distension
c. Severe, uncomfortable chest pain with shortness of breath
d. Dyspnea with fatigue and muscular weakness
d. Dyspnea with fatigue and muscular weakness
A traumatic brain injured patient reports to physical therapy feeling lethargic after being placed on
phenobarbital. The primary purpose of the medication is to
a. prevent seizures
b. reduce spasticity
c. limit arrhythmias
d. decrease agitation
a. prevent seizures
A post MI patient is about to begin phase 3 cardiac rehabilitation program. During the initial exercise
session, the patient’s ECG responses are monitored via radio telemetry. PT noticed three PVCs
occurring in a run with no P wave. PTS next strategy is
a. have the patient sit down and rest for a few minutes before resuming exercise
b. stop the exercise and notify the physician immediately
c. continue the exercise session, but monitor closely
d. modify the exercise prescription by decreasing the intensity
b. stop the exercise and notify the physician immediately
A 75-year-old frail female is being treated at home for general strengthening and mobility. The patient
has a 5 year history of taking non-steroidal anti-inflammatory drugs (NSAIDs) such as aspirin for joint
pain and recently added calcium channel. The possible adverse reactions/side effects include:
a. weight increase, hyperglycemia, hypotension
b. stomach pain, bruising, confusion
c. paresthesia, incoordination, bradycardia
d. increased sweating, fatigue, chest pain
b. stomach pain, bruising, confusion
To reduce inflammation of the tracheobronchial mucosa in asthma, COPD and sarcoidosis, steroids
are often prescribed. Which of these is not a side effect of steroid therapy?
a. Increased susceptibility to notion
b. decrease in BP
c. tachycardia
d. osteoporosis
b. decrease in BP
Patient is a 55-year-old female status post removal of lymph nodes in the axilla secondary to cancer.
You apply mechanical intermittent compression and massage. For best results with massage, this
technique is implemented this way
a. massage the distal segment first
b. massage the proximal segment first
c. massage the axillary region first
d. massage applied only every other day
b. massage the proximal segment first
The following are characteristics of an arterial ulcer, EXCEPT _______________.
a. Location is usually in the toes, feet lateral malleolus, anterior tibial area
b. Pedal pulses are usually present
c. Has irregular, smooth edges
d. Painful especially if legs are elevated
b. Pedal pulses are usually present
A patient in the clinical suddenly had an episode of syncope. PT attempts to rule out orthostatic
hypotension as the cause of fainting. The BEST way to do this is by ______________.
a. Checking resting BP and HR in supine and sitting then repeating measurements after the
patient stands for 1 minute
b. Palpating the carotid arteries and taking HR using the supine position for BP measurement
c. Checking HR and blood pressure in supine after 5 minute of rest and then repeating in a semi-
Fowler position
d. Checking HR and BP at rest and after 3 and 5 minutes of cycle ergometer exercise
a. Checking resting BP and HR in supine and sitting then repeating measurements after the
patient stands for 1 minute
A 65-year-old female, 5 weeks post myocardial infarction is attending a cardiac rehab program. The
PT adds a cooling period and patient asks why it is needed. PT’s answer should be _______
a. “it reduces chances of nausea and vertigo.”
b. “it minimizes occurrence of ventricular arrhythmias.”
c. “It allows PT to monitor vital signs after exercise.”
d. “it prevents pooling of the blood in the extremities.”
d. “it prevents pooling of the blood in the extremities.”
Your cardiac patient was given a rest period after symptoms of chest pain and sweating after a mild
exercise. She took nitroglycerin sublingually as per instruction of her cardiologist. The onset of action
from nitroglycerin in this case occurs after _________ minute/s.
a. 30
b. 10
c. 1
d. 5
c. 1
A PT is treating a 35-year-old female with thoracic outlet syndrome. While exercising, the patient starts
to complain of light headedness and felt dizzy. PT immediately sits the patient and monitored her vital
signs. PT measures the patient’s respiration rate as 10 breaths per minute, pulse rate at 45 beats per
minute, and blood pressure as 116/84 mmHg. Which of the following statements is MOST accurate?
a. blood pressure and respiration rate are above normal levels
b. pulse rate and respiration rate are below normal levels
c. patient’s vital signs are within normal limits
d. pulse rate and blood pressure are above normal levels
b. pulse rate and respiration rate are below normal levels
A 55-year-old who underwent recent modified radical mastectomy fox breast cancer is referred to PT.
An important predictor for lymphedema after treatment for breast cancer is ___________.
a. A diet low in sodium
b. Mild strength loss in the affected extremity
c. Use of diuretics
d. Obesity
d. Obesity
A patient with stage II primary lymphedema of the left lower extremity is referred to PT for increased
limb girth with evident skin folds. An essential component of lymphedema management is manual
lymphatic drainage which includes _____________.
a. decongesting the proximal portion of the limb first and working distally
b. decongesting the distal portions of the limb first and working proximally
c. deep tissue friction massage for several minutes on fibrotic areas
d. decongesting the trunk after the limb segments
a. decongesting the proximal portion of the limb first and working distally
A 66-year-old female patient complains of difficulty of walking. During the rest period, the skin in the
lower leg appears discolored. After walking for about 2 minutes, patient complains of pain in the leg.
A marked pallor is also evident in the skin over the lower third of the extremity. These symptoms are
synonymous with __________.
a. peripheral neuropathy
b. restless leg syndrome
c. neurogenic claudication
d. vascular claudication
d. vascular claudication
A patient has a 13-year-old history of peripheral vascular disease (PVD) affecting the left lower
extremity. During auscultation of the popliteal artery, the PT would expect to find a/an ________.
a. Bruit
b. + Homan’s sign
c. + pulses
d. intense pain and cramping
a. Bruit
Which statement is NOT TRUE about blood pressure?
a. Blood pressure response is higher during weight training than incorporate concentric and
eccentric phase compared to isokinetic
b. Blood pressure is directly related to cardiac output and peripheral vascular resistance and
therefore is an effective non-invasive performance measure of the pumping mechanism of
the heart
c. Blood pressure tends to be lower when the Valsalva maneuver is applied
d. Blood pressure increases during dynamic resistance exercise, such as free weights,
machines or isokinetics and continues to increase as an exercise set progresses
d. Blood pressure increases during dynamic resistance exercise, such as free weights,
machines or isokinetics and continues to increase as an exercise set progresses
Which statement is NOT TRUE about systolic blood pressure?
a. If systolic pressure does not rise with increasing workload, it may indicate that the
functional reserve capacity of the heart has been exceeded
b. Systolic pressure increases with exertion in a linear progression, often at a rate of 10-14 mm
Hg per metabolic equivalent
c. Normally, systolic blood pressure in the legs is 10-20 percent higher than the pressure in
the arms (brachial artery)
d. Systolic pressure measures the force exerted against the arteries during the ejection cycle,
while diastolic pressure measures the force exerted against the arteries during rest
b. Systolic pressure increases with exertion in a linear progression, often at a rate of 10-14 mm
Hg per metabolic equivalent
A patient with asthma is on medication (albuterol) ventolin from the sympathomimetic group. The
MOST important effect of this drug is _____________.
a. lowers airway resistance by reducing bronchospasm
b. lower bronchial construction and high blood pressure (BP) that accompanies exercise
c. increases heart rate (HR) and BP to enhance a training effect during aerobic activity
d. raises airway resistance and reduces secretion production
a. lowers airway resistance by reducing bronchospasm
The PRIMARY absolute cardiac contraindication to exercise testing is
a. untreated life-threatening cardiac arrhythmias
b. unstable angina with recent chest pain
c. advanced atrioventricular block
d. uncompensated congestive heart failure
b. unstable angina with recent chest pain
The PRIMARY absolute cardiac contraindication to exercise testing is
a. untreated life-threatening cardiac arrhythmias
b. unstable angina with recent chest pain
c. advanced atrioventricular block
d. uncompensated congestive heart failure
b. unstable angina with recent chest pain
The treatment of lower extremity edema with intermittent pneumatic compression is MOST
appropriate in this condition.
a. acute thrombophlebitis
b. core pulmonale
c. post operative inguinal node dissection
d. portal hypertension
c. post operative inguinal node dissection
You are evaluating a 63-year-old housewife with peripheral vascular disease. She complains of
intermittent claudication and frequently complains of getting tired. The MOST important treatment
goal is to increase __________
a. mobility
b. lower extremity strength
c. collateral circulation
d. range of motion
c. collateral circulation
Bluish discoloration of the skin and nailbeds of fingers and toes along with palms. That and cold and
mist all point to
a. liver disease
b. hypothyroidism
c. cyanosis
d. carotenemia
c. cyanosis
A PT discusses the importance of a proper diet with a patient diagnosed with a congestive heart
failure. Which of the following substance would MOST likely be restricted in the patient’s diet?
a. sodium
b. low-density lipoprotein
c. high-density lipoprotein
d. triglycerides
a. sodium
This is to test brachial plexus injury, brachial plexus neuritis or Meningitis.
a. Westphal
b. Keri
c. Lhermittes
d. Bіkеlе
d. Bіkеlе
The silver fork deformity results from an unreduced or inadequately reduced
a. fracture of the lower ulna
b. fracture of one or more carpals
c. fracture of the first metacarpal
d. Colle’s fracture
d. Colle’s fracture
A major reason cervical traction is done intermittently is
a. machine will not overheat
b. b.to increase blood flow to that area
c. greater poundage can be tolerated
d. all of these
c. greater poundage can be tolerated
A golfer, while swinging to drive the ball, felt an immediate sharp pain in the right lower
back. The day after patient reported stiffness with easing of pain after a shower. With these
information, the source of pain is MOST LIKELY:
a. Nerve root compression
b. Facet joint impingement
c. A stress fracture
d. Diminished blood supply to the spinal cord
b. Facet joint impingement
A patient with pain in the left lateral face and head is found to have limited active and passive
mouth opening range of motion. However, passive lateral deviation is full to both sides. The
probable cause for the limitation in mouth opening range of motion is .
a. An anteriorly displaced disc without reduction in the left
temporomandibular joint
b. Decreased flexibility in the muscles of mastication on the left
c. Capsular restriction of the left temporomandibular joint
d. Decreased flexibility in the muscles of mastication on the left
b. Decreased flexibility in the muscles of mastication on the left
A post stroke patient standing without any external support has some sway. If he can remain
standing while turning his head or trunks, the functional grade is ____.
a. Normal static and dynamic standing balance
b. Good static and fair dynamic standing balance
c. Good static and normal dynamic standing balance
d. Fair static and good dynamic standing balance
b. Good static and fair dynamic standing balance
In order to determine if an exercise session should be terminated, the patient assesses the
level of exertion using the BORG Rating of Perceived Exertion Scale. The patient rates the level
of exertion as 11 on the 6-19 scale. A rating of 11 corresponds to which of the following
.
a. Very, very light
b. Very light
c. Somewhat hard
d. Fairly light
d. Fairly light
In a wellness center, a PT was assigned to do a study that examines body composition as a
function of aerobic exercise and diet. The method of data collection that would provide the
MOST accurate of body composition is .
a. Skin fold measurements
b. Hydrostatic weighing
c. Bioelectrical impedance
d. Anthropometric measurement
b. Hydrostatic weighing
Body composition is defined as the relative percentage of body weight that is comprised of fat
and fat free tissue. Aside from skin fold measurement and hydrostatic weighing, the other
methods are the following EXCEPT:
a. Bioelectrical impedance analysis
b. Body Mass Index
c. Plethysmography
d. Fat content analysis
d. Fat content analysis
A 32-year-old male diagnosed with ankylosing spondylitis reports progressive stiffening of the
spine and associated pain for more than five years. The patient’s MOST typical standing
posture demonstrates .
a. Lateral curvature of the spine with fixed rotation of the vertebrae
b. Posterior thoracic rib hump
c. Excessive lumbar curve flattened thoracic curve
d. Flattened lumbar curve, exaggerated thoracic curve
d. Flattened lumbar curve, exaggerated thoracic curve
The MOST effective energy utilization takes place in __________ contraction.
a. eccentric
b. isometric
c. concentric
d. isokinetic
a. eccentric
A patient recently admitted to an acute care hospital is referred to physical therapy. The PT
documents the following clinical signs: pallor, cyanosis, and cool skin. These clinical signs are
MOST consistent with ________________.
a. Hypertension
b. Anemia
c. Diaphoresis
d. Cor pulmonale
b. Anemia
Which of the statements about developmental motor control is NOT TRUE?
a. isotonic control develops before isometric control
b. gross motor control develops prior to fine motor control
c. eccentric movement develops prior to concentric movement
d. trunk control develops prior to distal extremity control
a. isotonic control develops before isometric control
A PT is evaluating a 76-year-old female with chronic forward head posturing in standing and
sitting. To decrease the forward beading, the PT should stretch the _____________.
a. longus capitis and longus colli muscles
b. rectus capitis posterior minor and rectus capitis posterior major muscles
c. rectus capitis anterior muscles
d. middle trapezius and rhomboid muscles
b. rectus capitis posterior minor and rectus capitis posterior major muscles
A 60-year-old male patient was referred to PT for an exercise testing after experiencing
shortness of breath twice 2 weeks prior to consultation. After monitoring the vital signs, the
data collected are interpreted. The BEST indicator that patient had exerted maximal effort is
__________.
a. Decrease in diastolic BP of mmHg when compared to the resting value
b. Rating of 12 on a perceived exertion scale
c. Failure of the heart rate to increase with further increase in intensity
d. Rise in systolic diastolic BP of 50 mmHg when compared to the resting value
c. Failure of the heart rate to increase with further increase in intensity
For each degree in Fahrenheit use in body temperature, pulse rate will increase about beats.
a. 14
b. 4
c. 6
d. 10
d. 10
A PT will evaluate the shoulder of a patient with hepatitis B. PT finds no open wound abrasions.
Patient has good hygiene. The prescription includes passive range of motion because of
adhesive capsulitis. Which of these precautions is absolutely necessary to prevent infection for
PT?
a. PT should wear gloves
b. none of these
c. PT should wear a mask
d. PT should wear a gown
b. none of these
What does it take to be an effective leader? All of the following are examples EXCEPT:
a. Provide little control or feedback
b. Resolve conflict early
c. Provide subordinates an opportunity for growth
d. Encourage creativity and innovation
a. Provide little control or feedback
In the functional balance grades, what rate will you give a patient who is able to maintain
balance while weight shifting? (JD)
a. fair
b. poor
c. normal
d. good
d. good
A patient exhibits weak quadriceps (4/5) and complains of difficulty in descending stairs. Among
the techniques below, the BEST exercise to regain strength in the quadriceps is
a. isokinetic exercise at 36 degrees/second
b. partial sit-ups later progressing to lunges
c. progressive resistance exercises. 70 percent IRM, 3 sets of 10
d. maximum isometric exercise, at 45 and 90 degrees of knee extension
b. partial sit-ups later progressing to lunges
A patient with multiple sclerosis is a subject in a research study testing the efficacy of a new
medication. The patient reports that the medication she is taking makes her feel much better
and allows her to move more easily. At the end of the study, it is revealed that she was part of
the control groups. Her responses are MOST LIKELY due to
a. sampling bias
b. pretest - treatment interference
c. placebo effect
d. Hawthorne effect
c. placebo effect
Patient comes to therapy because of poor motor control of the Lower extremities PT determines
that to work efficiently toward bringing the patient back to prior level of ambulation, he must
follow this sequence of control
a. stability, controlled stability, mobility skill
b. mobility, stability, controlled mobility, skill
c. mobility, controlled mobility, stability, skill
d. skill, controlled stability, controlled mobility
b. mobility, stability, controlled mobility, skill
This is a test for thoracic outlet syndrome where patient is positioned in sitting or supine. The
therapist moves the patient’s arm overhead in the frontal plane while monitoring the patient’s
radial pulse. A positive test is indicated by an absent or diminished radial pulse and may be
indicative of compression in the costoclavicular space.
a. Roos
b. Allen
c. Adson maneuver
d. Wright test
d. Wright test
A 52-year-old male weighing 175 lbs. complained of left neck pain radiating to his left thumb.
His Spurling’s sign was positive in the left with depressed left biceps jerk. His X-rays showed a
spondylosis with narrowing of his C5-C6 interspace. The program would MOST LIKELY include
____________.
a. Continuous traction, sitting, with neck at neutral with 20 lbs weight
b. Intermittent cervical traction, supine with neck in 20 degrees of flexion and
poundage gradually increasing to 30 lbs
c. Continuous traction lying down with a single pulley in the headboard holding a
weight of 10 lbs which may be increased to 30
d. Intermittent cervical traction while sitting with neck flexed at 45 degrees and
poundage gradually increasing to 10 newtons
b. Intermittent cervical traction, supine with neck in 20 degrees of flexion and
poundage gradually increasing to 30 lbs
A grade of Fair of lumbar extensors means that the patient is able to do this: (JD)
a. Clear the upper chest off the table
b. Clear the umbilicus off the table
c. Clear the costal rib off the table
d. Clear the xiphoid process off the table
b. Clear the umbilicus off the table
A 50-year-old paraplegic was referred for evaluation and management after one week of bed
inactivity. The MMT yielded: upper extremity muscles were grossly graded 3+/5, both hip
flexors and extensor graded 3/5, both quadriceps is 2+/5 and both ankle dorsiflexors are 2-/5.
Initial goals of treatment should be ______.
a. Increase muscle strength
b. All of these
c. Increase postural tolerance
d. Independence in ADL
a. Increase muscle strength
In measuring wrist flexion with a goniometer, the bony landmark used to align the instrument
are
a. Lateral condyle of the humerus and the ulna
b. Styloid process of the ulna and
the fifth proximal IP joint
c. Lateral midline of the ulna and
the fifth metacarpal
d. Lateral midline of the radius and first metacarpal
c. Lateral midline of the ulna and
the fifth metacarpal
In research it is a concept in statistical test referring to which data have the capacity to vary once
certain limits have been imposed.
a. coefficient of concordance
b. degree of freedom
c. t value
d. p value
b. degree of freedom
A patient is performing concentric strengthening exercises of the triceps. In this type of technique,
maximum force is generated at
a. full extension
b. mid-range
c. full flexion
d. all throughout the range
b. mid-range
In normal cadence, the knee flexes after heel strike to approximately ____
degrees.
a. 5
b. 10
c. 15
d. 25
c. 15
Which of these statements on water temperature during aquatic exercise is TRUE?
a. heat transfer increases with velocity
b. water retains heat 1000 times more than air
c. differences in temperature between an immersed object and water will equilibrate with
minimal change in temperature of the water
d. water conducts temperature 5 times faster than air
d. water conducts temperature 5 times faster than air
Which of these statements on water temperature should NOT be considered when preparing an
aquatic exercise program?
a. Cardiovascular training and aerobic exercise should be performed in water temperature
between 22 degrees C and 25 degrees C.
b. Therapeutic exercise performed at 33 degrees C may be beneficial for patients with acute,
painful musculoskeletal injuries because of the effects of relaxation, elevated pain
threshold and decreased muscle spasm.
c. Flexibility and strengthening exercises; gait training and relaxation may be performed in
temperatures between 26 degrees C and 33 degrees C.
d. Intense aerobic training performed above 80 percent of a patient’s maximum heart rate
should take place in temperature between 22 degrees C
a. Cardiovascular training and aerobic exercise should be performed in water temperature
between 22 degrees C and 25 degrees C.
The middle score of a distribution which divides a group of scores into equal parts with half of the
scores falling above and half of the scores falling below is the
____________
.
a. Quota
b. Median
c. Mode
d. Mean
b. Median
A patient standing in a corner wall with arm bilaterally abducted and externally rotated against the
wall is MOST LIKELY stretching the .
a. Clavicular portion of pectoralis major
b. Clavicular portion of pectoralis minor
c. Sternal portion of pectoralis major
d. Sternal portion of pectoralis minor
a. Clavicular portion of pectoralis major
The principle that states that there will only be an increase in muscle strength if adequate resistance
is given is .
a. Overload
b. McGill
c. Davies
d. Action- reaction
a. Overload
A patient immersed in the pool up to the umbilicus effectively off-loads percent of his body weight.
a. 30
b. 40
c. 60
d. 50
d. 50
This statement is TRUE of the peak torque of a concentric contraction of the plantarflexors.
a. It occurs at the end of the range where the plantarflexors are the most shortened.
b. It does not change with different velocities of isokinetic testing
c. It is measured in joules
d. It decreases as the muscles fatigue
d. It decreases as the muscles fatigue
A 34-year-old motorcycle delivery crew who figured in a vehicular accident was referred to you.
Evaluation revealed that he had no function of the biceps and the brachialis but has functions of the
triceps and deltoid muscles. You can suspect:
a. Nerve root lesion is at C5-C6
b. Lesion is at the lateral cord of the brachial plexus
c. None of these
d. Lesion is at the posterior cord of the brachial plexus
b. Lesion is at the lateral cord of the brachial plexus
A PT is implementing a closed kinetic chain exercises for a patient diagnosed with anterior cruciate
ligament insufficiency. Which is INAPPROPRIATE to include in the program?
a. Walking backwards on a treadmill
b. Exercise in a stair climber
c. Isokinetic knee extension and flexion
d. Limited squats to 45 degrees
c. Isokinetic knee extension and flexion
A 65-year-old former banker with mild dementia is included in a national study testing of efficacy of
a new drug to increase memory. The patient’s family reports that he is perky while taking the
medication and memory seem to be better. At the conclusion of the study, it is revealed that the
patient was part of the control group. These responses are MOST LIKELY due to
a. Hawthorne’s effect
b. sampling bias
c. placebo effect
d. Pretest treatment interference
c. placebo effect
At what phase of the gait cycle would a PT expect to notice an everted posture of the calcaneus
a. terminal stance (heel off) to pre swing (toe off)
b. from midstance through heel off (toe off)
c. from initial contact: (heel strike) through loading response (foot-flat)
d. initial swing (acceleration) through midswing
c. from initial contact: (heel strike) through loading response (foot-flat)
Patient is suffering from complete paralysis of the gluteus maximus. To compensate during the
stance phase of the gait cycle, the patient will exhibit
a. external tibial torsion at heel strike
b. increased plantarflexion
c. hyperextension of the spine
d. maintenance of knee flexion
c. hyperextension of the spine
A patient fatigues easily while performing progressive resistive exercises. Which of the following
exercise techniques will produce LESS fatigue?
a. Oxford
b. De Lorme
c. Brandon
d. Borg
a. Oxford
Which of these statements on the center of buoyancy should NOT be considered when designing a
pool program for a patient who underwent a below knee amputation?
a. In the vertical position, posteriorly placed buoyancy devices will cause the patient to lean
backward, anterior buoyancy will cause the patient to lean forward
b. A patient with a unilateral lower extremity amputation will lean toward the residual limb side
in a vertical position
c. During unilateral manual resistance exercises the patient revolves around the therapist in a
circular motion
d. In the vertical position, the human center of buoyancy is located at the sternum
a. In the vertical position, posteriorly placed buoyancy devices will cause the patient to lean
backward, anterior buoyancy will cause the patient to lean forward
Which is NOT a characteristic of isometric exercise?
a. contractions should be held for at least 12 seconds to obtain adaptive changes in the
muscle
b. occurs when a muscle contracts without a length change
c. resistance is variable and accommodating
d. strengthening is developed at a point in the range, not over entire length of muscles
a. contractions should be held for at least 12 seconds to obtain adaptive changes in the
muscle
A PT wants to compare frequencies of carpal tunnel syndrome occurring in different groups of
workers restaurant waiters and call center agents. The MOST suitable statistical tool for analysis
data is
a. t-test
b. normal distribution curve
c. chi square test
d. simple one-way ANOVA
c. chi square test
Patient can only reach 60 degrees of passive straight leg raising. To improve the range of motion,
the hold-relax technique should be applied to
a. adductors and hip extensors
b. quadriceps and hip flexors
c. abductors and hip flexors
d. hamstrings and hip extensors
d. hamstrings and hip extensors
The middle score of a distribution which divides a group of scores into equal parts with half of the
scores falling above and half of the scores falling below is the:
a. Mean
b. quota
c. median
d. mode
c. median
Which of these statements is TRUE, regarding water temperature during aquatic exercise, EXCEPT?
a. water retains heat 1000 times more than air
b. heat transfer increases with velocity
c. differences in temperature between an immersed object and water will equilibrate with
minimal change in temperature of the water
d. water conducts temperature 5 times faster than air
d. water conducts temperature 5 times faster than air
An orthopedic surgeon referred a 25-year-old basketball player for instruction to improve strength of
his ankle using closed kinematic chain exercises to increase ankle proprioception and reduce risk
for ankle sprains. Which of these exercises should be part of your exercise program?
a. Ankle eversion-inversion exercises using free weights strapped to his ankle
b. Ankle eversion exercises using theraband resistance while the patient is sitting on the floor
with his knee extended
c. Walking on an inclined plane
d. Half squats
c. Walking on an inclined plane
Which research model contains the characteristics of variable manipulation control and
randomization?
a. experimental model
b. case study
c. descriptive model
d. historical model
a. experimental model
A PT is evaluating the gait of an individual who is undergoing pre-employment procedures. While
checking the cadence, he counted 115 steps per minute. This value is considered
__________
.
a. Low
b. Average
c. Very high
d. High
b. Average
When mobilizing a joint, correct technique is crucial. The statements below describe the
mobilization technique EXCEPT .
a. Commence with grade I distraction when possible
b. One joint at a time is moved in one direction
c. The extremity to be treated is placed in comfortable position
d. A joint is mobilized in the closed pack position
d. A joint is mobilized in the closed pack position
A group of PT clinicians is performing research in which a specific myofascial technique is applied
to a patient with chronic back pain. They are using a single-case experimental design with an A-B-A-
B format. Their research hypothesis states that pain-rating scores will decreases with the treatment
intervention. Accepting this hypothesis would be indicated if
a. B is less than A
b. B is equal to A
c. B is greater than A at the 1.0 level
d. B is greater than A at the 0.05 level
a. B is less than A
A PT goes over a research study that examines knee flexion ROM two weeks following arthroscopic
surgery. Granting knee flexion ROM two weeks after arthroscopic surgery is a normally distributed
variable, what percentage of patients in the population would achieve a goniometric measurement
value between the mean and one standard deviation above the mean?
a. 68
b. 34
c. 14
d. 48
b. 34
A 66-year-old with a right gastrocnemius contracture is in the whirlpool. The correct temperature for
the submersion is
______
degrees F.
a. 92
b. 108
c. 104
d. 98
c. 104
Depending on the size of the body area immersed and the patient’s physical status, an effective hot
or very hot whirlpool may range from 103 degrees F to 115 degrees F. In centigrade this will be
equivalent to
__________
degrees C
a. 39.9 - 46.1
b. 38.8 - 44.1
c. 40.2 - 43.2
d. 36.5 - 42.1
a. 39.9 - 46.1
Paraffin melts at 54.5 degrees C but is used as a therapeutic modality because
a. paraffin requires a longer treatment time
b. paraffin requires fewer calories of heat to raise its temperature
c. the addition of mineral oil lowers its specific heat
d. it has a low specific gravity
c. the addition of mineral oil lowers its specific heat
The ability of a cold modality to affect local and systemic changes depends on the temperature of
the cold and the duration of the application. The other factors include the following EXCEPT
a. skin-modality temperature gradient
b. vascular supply to the area
c. thermal conductivity and thickness of each tissue layer
d. room temperature
d. room temperature
PT has just completed a study investigating the relationship between ratings of perceived exertion
(RPE) and type of testing modality: arm ergometry versus leg ergometry. PT finds a correlation of .52
with the arm testing while the correlation is 0.75 with the leg testing. This means that
a. The common variance of both types of testing is only 20 percent
b. Both arm and leg ergometry are highly correlated RPE
c. Leg ergometry is highly correlated with RPE while arm ergometry is only moderately
correlated
d. Both arm and leg ergometry are only moderately correlated with RPE
c. Leg ergometry is highly correlated with RPE while arm ergometry is only moderately
correlated
A PT observes that the gait of patient status post pneumonia is characterized by heel walking.
Possible cause of this deviation can be any of the following EXCEPT:
a. Tightness of the dorsiflexor muscle
b. Weakness of the gastrocnemius muscle
c. Decreased strength of the dorsiflexors
d. Pes calcaneous deformity
c. Decreased strength of the dorsiflexors
A newborn is 5 weeks premature and evaluated at birth using the APGAR test. The APGAR score that may result in a
possible neurological complication is
a. 3 at 10 minutes
b. 9 at 1 minute
c. 8 at 5 minutes
d. 8 at 1 minute
a. 3 at 10 minutes
A 16-year-old female dancer complains of subpatellar pain after 2 weeks of vigorous rehearsal for a hip-hop competition.
PT’s evaluation shows a large Q angle, pain on palpation at the inferior pole of the patella and mild swelling at both knees.
The BEST strategy for this condition is
a. Vastus medialis (VM) muscle strengthening
b. taping to increase lateral patellar tracking
c. hamstring strengthening
d. vastus lateralis strengthening
a. Vastus medialis (VM) muscle strengthening
These statements on the comparison of plantar fasciitis and tarsal tunnel syndrome are TRUE EXCEPT
a. Pain is worse in walking, running and in the morning (sometimes improves with activity) in plantar fasciitis but worst
with standing, walking and at night for tarsal tunnel syndrome
b. Pain in plantar fasciitis is usually on the plantar aspect of the foot, at the anterior calcaneus while in tarsal tunnel
syndrome it is in the medial heel and medial longitudinal arch
c. When resisted isometric movements are done, both exhibit normal strength
d. Plantar fasciitis is due to overuse while tarsal tunnel syndrome is usually brought about by trauma, a space
occupying lesion or inflammation
c. When resisted isometric movements are done, both exhibit normal strength
The following are symptoms of a rotator cuff tear EXCEPT
a. reduction of ROM
b. drop arm test is positive
c. poor scapula thoracic and glenohumeral rhythm
d. significant reduction of AROM into abduction
d. significant reduction of AROM into abduction
A 64-year-old patient will undergo total hip replacement in a week. Which of these is NOT included among pre-operative
instructions?
a. gait training with an appropriate device that will be used post operatively
b. deep breathing and coughing exercise
c. basic precautions for early bed mobility
d. proper use of an abduction pillow for 1-2 weeks post operatively
d. proper use of an abduction pillow for 1-2 weeks post operatively
A patient 4 months post total knee replacement is referred for ROM and strengthening exercises. Which strategy would
NOT be appropriate for the patient?
a. active strengthening using the contract-relax technique
b. exercise on a stationary bicycle against mild resistance
c. joint mobility to increase joint play
d. performing straight leg raising, short arc extension and knee flexion exercise using light weights
c. joint mobility to increase joint play
A football player suffered a grade II inversion ankle sprain 2 weeks ago. The Best intervention in the early subacute phase
of rehabilitation would most likely include
a. functional football related drills
b. mobilization at the talocrural and subtalar joints
c. plyometric based exercise
d. closed chain strengthening and proprioceptive exercises
d. closed chain strengthening and proprioceptive exercises
While talking to a patient about a previous exercise program, the patient mentioned that his PT from another clinic said that the performed negative work. Negative work or a negative muscular contraction is BEST defined as
a. the muscle develops tension and increases in length
b. purposeful voluntary motion
c. the muscle develops tension and decreases in length
d. muscle length remains constant as tension is developed
a. the muscle develops tension and increases in length
A PT is conducting a pre-operative training for a patient scheduled for repair of a large rotator cuff tear. Patient is a 56-year-
old bank executive and he wants to know how long before he can resume his former recreational activities such as golf and
badminton. The MOST appropriate time frame is ____ weeks.
a. 24 – 28
b. 6 – 8
c. 12—14
d. 36 – 40
a. 24 – 28
The correct sequence for a positive Landau reflex response is:
a. First the back extends, then the neck flexes with leg in extension
b. First the head, then the back and legs extend
c. Simultaneous neck and back in flexion with legs in extension
d. First the legs will extend, then neck extension with back flexion
b. First the head, then the back and legs extend
A PT is completing a development assessment of a 7-month-old infant with normal development. The reflex that would
NOT be integrated is .
a. Asymmetrical tonic
b. Moro
c. Landau
d. Symmetrical tonic neck
c. Landau
Which of these is NOT TRUE about the pre-operation stage of cognitive development?
a. Children develop tools for representative scheme symbolically through language imitation, imaginary play and drawing
b. Preceded by the sensorimotor stage
c. Ends at 5 years
d. Starts when child begins to learn language
c. Ends at 5 years
The condition that may result from persistent wearing of high heels is .
a. Diabetic peripheral neuropathy
b. Bilateral bunion
c. Metatarsalgia
d. Pes planus
c. Metatarsalgia
A child with cerebral palsy has difficulty releasing food from the hand to the mouth. To assist the hand opening when the
food is in the mouth, the caregiver should
a. passively extend the fingers
b. slowly stroke the finger flexors in a distal to proximal directions
c. slowly stroke the finger extensors in a proximal to distal direction
d. apply a quick stretch to the finger flexors
c. slowly stroke the finger extensors in a proximal to distal direction
A female PT is treating a 1-year-old child with Down Syndrome at home. She notices decreasing strength in the extremities
with neck pain and limited neck motion. Deep tendon reflexes are 1+. PT suspects .
a. Atlanto-axial subluxation with lemniscal impingement
b. Lower motor neuron signs consistent with Down Syndrome
c. Upper motor neuron signs consistent with Down Syndrome
d. Atlanto-axial subluxation with spinal cord impingement
d. Atlanto-axial subluxation with spinal cord impingement
An infant is independent in sitting, including all protective extension reactions and can pull-to-stand through kneeling,
cruise sideways and stand alone. The infant still exhibits plantar grasp in standing. These infant’s chronological age is close
to _______ months.
a. 5
b. 8-9
c. 10-15
d. 6
b. 8-9
A positive Kleiger’s test indicates __________.
a. deltoid ligament tear
b. Achilles tendon rupture
c. flatfoot
d. tibiotalar dislocation
a. deltoid ligament tear
A 50-year-old golfer complains of pain on getting up that eases with ambulation. There’s also pain when running and upon
palpation of the distal end of calcaneus. Evaluation also reveals pes planus. PT suspects plantar fasciitis. Initial strategy
would include: .
a. Use of night resting splint
b. Strengthening of ankle dorsiflexors
c. Modalities to reduce pain
d. Use of customized orthosis
a. Use of night resting splint
Prematurity is associated with neonatal morbidity and mortality. It is defined as the birth before the:
a. 32nd week of gestation
b. 35th week of gestation
c. 37th week from the first day of the last menstruation
d. 30th week of intrauterine development
c. 37th week from the first day of the last menstruation
Which of the following is MOST important goal in treating pediatric patients with postural reaction deficits?
a. automatic response
b. age-appropriate responses
c. lower extremity control before upper extremity control
d. conscious responses
a. automatic response
An infant who was thirty-three weeks gestation age birth and is now 3 weeks of chronological age would BEST respond
to .
a. Neutral warmth
b. Fast vestibular
c. Visual stimulation with a colored object
d. Vibration
a. Neutral warmth
An infant is independent in sitting, all protective extension reactions and can pull-to-stand through kneeling, cruise
sideways and stand alone. The infant still demonstrates plantar grasp in standing. The infant’s chronological age is ____
months.
a. 5
b. 8-9
c. 10-15
d. 6
b. 8-9
A test to determine if there are loose bodies in the knee joint is called _________.
a. McMurray’s test
b. patello-femoral test
c. valgus / varus stress test
d. Apley’s tests
a. McMurray’s test
If a child exhibits emerging hand dominance, has crude release, can seat self in chair and walk backwards, he is ________
old.
a. 2 years
b. 10 months
c. 14 months
d. 18 months
d. 18 months
Which test is done when a PT suspects an unreduced anterior shoulder dislocation? The patient is asked to place the hand
on the opposite shoulder and then attempts to lower the elbow to the chest.
a. Sulcus sign
b. Feagin test
c. Protzman
d. Dugas
d. Dugas
What is the test for anterior meniscus pathology and also termed the “tenderness displacement test”?
a. Apley’s
b. Steinmann’s
c. McMurray’s
d. Lachman’s
b. Steinmann’s
A 60-year-old male complains of pain in the left hip region. The symptoms appear to be consistent with hip osteoarthritis.
The test to perform to assist in making this diagnosis would be:
a. Thomas
b. Posterior impingement
c. Craig’s
d. Scouring
d. Scouring
PT was referred a patient with vague hip pain that radiates to the lateral knee. The findings include: negative FABERE test,
negative grind test and a positive Noble’s compression test. These test results MOST LIKELY point to
a. DJD of the hip
b. irritation of the L5 spinal nerve root
c. an iliotibial band friction disorder
d. SI joint dysfunction
c. an iliotibial band friction disorder
Among the activities below, the BEST way to facilitate walking without support in a 2-year-old patient with Down Syndrome
is:
a. strengthening exercises for quadriceps using weights
b. use of walker with rollers to increase distance
c. use of reflex inhibiting patterns in lower extremities
d. weight shifting in standing while dancing to music
d. weight shifting in standing while dancing to music
A 60-year-old golfer was referred to PT for a sacroiliac joint pain. In your evaluation, you plan to include a Gillet’s test. Which
of these methods describe how test is carried out?
a. Patient in supine with correct trunk alignment, pelvis and lower limbs. You stand at edge of table by patient’s feet
palpating medial malleolus to assess asymmetry. Have patient come to long sitting position and assess the leg length.
b. Place thumb of your hand under PSIS of limb to be tested and place your other thumb on center sacrum at same level
as thumb under PSIS. Ask patient to extend hip of limb being tested.
c. Patient is sidelying at edge of bed while holding bottom leg in maximal hip and knee flexion (knee to chest). Standing
behind patient passively extend hip of uppermost limb.
d. Patient is standing. Place thumb of your hand under PSIS of limb to be tested and place your other thumb on center
of sacrum at same level as thumb under PSIS. Ask patient to flex hip and knee of limb tested like bringing knee to
chest
d. Patient is standing. Place thumb of your hand under PSIS of limb to be tested and place your other thumb on center
of sacrum at same level as thumb under PSIS. Ask patient to flex hip and knee of limb tested like bringing knee to
chest
Vibration is often used to facilitate muscle tone in children with Down Syndrome. The muscle group MOST in need of
facilitation are
a. neck and back flexors and extensors, elbow extensors and knee flexors and extensors
b. back extensors, elbow flexors and extensors, hip adductors and knee extensors
c. neck flexors and extensors, trunk flexors, hip adductors and knee extensors
d. neck and back extensors, elbow extensors hip abductors and knee extensors
d. neck and back extensors, elbow extensors hip abductors and knee extensors
A 36-year-old fast food delivery crew got involved in a motorcycle accident. He sustained an injury to the posterior cord of
the brachial plexus. Which muscle would not be affected by the injury?
a. latissimus dorsi
b. infraspinatus
c. teres major
d. subscapularis
b. infraspinatus
During 180 degrees of abduction in the scapulohumeral rhythm, there is roughly a ratio of movement of the humerus to the
scapula.
a. 2:1
b. 1:1
c. 1:3
d. 1:2
a. 2:1
A study of the local population was necessary to determine the need for a geriatric center in the area. The Pts performing
the study divided the population by sex and selected a random sample from each group. This is an example of what type of
sampling?
a. random cluster
b. stratified random
c. systematic random
d. 2 step cluster
b. stratified random
Which is NOT a test for rotatory instability of the knee?
a. Ballottement
b. jerk test of Hughston
c. active pivot shift
d. Dial
a. Ballottement
A PT is evaluating a patient diagnosed with an acute posterior cruciate sprain. The mechanism of injury for the posterior
cruciate is ______________.
a. a forceful larding on the anterior tibia with the knee hyperflexed
b. hyperextension medial rotation of the leg with lateral rotation of the body
c. a valgus force applied to the knee when the foot is fixed
d. an anteriorly directed force applied to the tibia when the foot is fixed
a. a forceful larding on the anterior tibia with the knee hyperflexed
A positive crossover sign is indicative of ___________.
a. possible disc lesion causing traction on the ipsilateral nerve roots
b. tightness of iliotibial band
c. malingering patient
d. possible disc lesion causing traction on the contralateral nerve roots
d. possible disc lesion causing traction on the contralateral nerve roots
Crutches for an elderly hip fracture patient might differ from those for the young paraplegic patient of the same height in
that
a. they would have suction tips for greater safety
b. there would be no more padding at the axillary piece
c. they would be shorter
d. the hand piece would be lower
a. they would have suction tips for greater safety
A plumb line is a tool that consists of a weight suspended at the end of a string to determine vertical. Ideal positioning of
selected body parts in relation to the plumb line is described below, EXCEPT:
a. Slightly anterior to the axis of the knee joint
b. Slightly anterior to the hip joint
c. Slightly anterior to the lateral malleolus
d. Through the calcaneocuboid joint
b. Slightly anterior to the hip joint
A 76-year-old male patient demonstrates significant proprioceptive losses in both lower extremities, distal greater than
proximal useful compensatory strategies in is ambulation training would
include .
a. Shorten ambulation and focus on wheelchair mobility
b. Constant verbal cueing about his foot position
c. Practice walking on a smooth surface floor
d. Letting patient watch position of his feet while practicing standing and stepping
d. Letting patient watch position of his feet while practicing standing and stepping
A PT is evaluating the gait of a 5-year-old girl. PT notices that the child is unsteady and has a wide base
support. She appears to lurch at times with minimal truncal bobbing in an anterior and posterior position. The
child cannot maintain standing position with the feet placed together for more than 5 seconds. The area of the
brain MOST LIKELY affected is the
a. cerebellar atmosphere
b. substantia nigra
c. corticospinal tracts
d. basal ganglia
2. A TBI injured patient is so
a. cerebellar atmosphere
A TBI injured patient is sometimes disoriented to time and place, has poor memory for recent events and
almost no carry over for new learning. The MOST important goal in this case is
a. different daily tasks to increase ease of cognitive retrieval
b. daily structure to reduce distraction
c. independence to tasks with varying environments
d. increase arousal and attention through sensory stimulation
b. daily structure to reduce distraction
A child stimulated for negative support reaction will respond positive through increased .
a. Extensor tone in lower extremities
b. Flexor tone in upper extremities
c. Flexor tone in lower extremities
d. Extensor tone in upper extremities
c. Flexor tone in lower extremities
An injury of the median nerve at the level of the wrist and hand can cause the following functional loss
EXCEPT
a. thumb opposition
b. weak or no pinch
c. flexion of the little finger
d. thumb flexion
c. flexion of the little finger
Patients with peripheral nerve injury demonstrate optimal peripheral nerve integrity and muscle
performance over the course of months.
a. 18-24 months
b. 2-3 months
c. 9-12 months
d. 4-8 months
d. 4-8 months
A 54 year old female bank executive was referred to the clinic after right breast lumpectomy with axillary
lymph node dissection. PT noted that scapular control is poor when upper extremity flexion or abduction
isbegan. Given the limitation, the PT intervention at this time should focus on .
a. Active assistive pulley exercises to assist rotator cuff muscles following damage to the
suprascapularnerve
b. Strengthening of the right deltoids to help stabilize the shoulder, which compensates for
damage to the dorsal scapular nerve
c. Strengthening of the right rhomboid to promote normal function of the scapula as a result of
damage to the dorsal scapular nerve
d. Gravity-assistive right upper extremity exercises to promote scapular control following damage
to the long thoracic nerve
d. Gravity-assistive right upper extremity exercises to promote scapular control following damage
to the long thoracic nerve
Ultrasound vibrations propagated through the housing of the applicator into the hand of the PT are
called .
a. Parasitic vibrations
b. Oscillating conversion
c. Ultrasonic conversion
d. Bactericidal vibrations
a. Parasitic vibrations
In comparing the clinical features of cerebral artery thrombosis with cerebral embolism, the former
a. presents an abrupt onset with rapidly developing symptoms
b. has the most common site of occlusion in the internal carotid artery
c. usually includes a sudden loss of consciousness
d. includes more generalized disturbance of cerebral function
A patient is on immune suppressants following renal transplantation was referred to the clinic for mobility
training using crutches. Initial evaluation revealed paresthesia in both lower extremities with peripheral
weakness in both hands and feet. PT suspects that patient is MOST LIKELY experiencing
a. leukopenia
b. peripheral neuropathy
c. myopathy
d. quadriparesis
b. peripheral neuropathy
The correct sequence in the hierarchy of the criteria of a profession is
a. lifetime commitment, representative organization, specialized education, service to clients, autonomy
of judgment
b. representative organization, lifetime commitment, service to clients, specialized education, autonomy
of judgment
c. autonomy of judgment, lifetime commitment, specialized education, representative organization,
service to clients
d. service to clients, autonomy of judgment, specialized education, representative organization, lifetime
commitment
a. lifetime commitment, representative organization, specialized education, service to clients, autonomy
of judgment
A PT working in the provincial hospital was asked to cover an interscholastic football league competition.
During a game, a player is knocked down on the field. The PT rushed to the scene and determines that the
player is unconscious. What should be the NEXT action of the PT?
a. Proceed to give mouth to mouth resuscitation check for shock
b.Start with the head and determine first if there is any bleeding or fluid coming from the nose, ears,
eyes, or mouth
c.Check the carotid pulse for a heart beat
d.Check breathing and if it is impaired, clear the airway, and if necessary
d.Check breathing and if it is impaired, clear the airway, and if necessary
A PT is preparing a 45-year-old female patient for treatment. The latter asked if she could go to the comfort
room. Wondering why patient has not returned to the treatment area after several minutes, PT checked and
found patient slumped on the floor face down. The appropriate course of action the PT should take is:
a. check level of response, call for help, establish airway and assess breathing
b. check level of response, call for help, assess breathing and establish airway
c. call for help, check level of response, assess breathing and establish airway
d. call for help, check level of response, establish airway and assess breathing
a. check level of response, call for help, establish airway and assess breathing
A 63-year-old male CVA patient was applied functional electrical stimulation on the affected ankle
dorsiflexors in conjunction with her gait training program. The rationale for the application of FES for this case
is
_____________
.
a. to promote substituting actions
b. all of these
c. used as an orthotic device
d. to delay muscle atrophy
c. used as an orthotic device
On initial standing, a patient with a chronic stroke is pushing strongly backward, displacing the center of
mass at or near the posterior limits of stability. The MOST LIKELY cause of this is
________
.
a. contraction of the hip extensors
b. contracture of the hamstrings
c. spasticity of the tibialis anterior
d. spasticity, of the gastrocnemius soleus
d. spasticity, of the gastrocnemius soleus
The following impairments may result in patients with a lesion in the temporal lobe of the brain, EXCEPT:
a. emotional liability
b. difficulty with memory loss
c. Wernicke’s aphasia
d. learning deficits
a. emotional liability
A newborn with whole arm paralysis resulting from a traction injury at birth was referred to physical
therapy. The initial plan of care for the patient should include
a. passive mobilization of the shoulder in overhead motions
b. age-appropriate task training of the upper extremity
c. splinting the shoulder in abduction and internal rotation
d. partial immobilization of the limb across the abdomen, followed by gentle ROM after
immobilization
d. partial immobilization of the limb across the abdomen, followed by gentle ROM after
immobilization
The functional outcome reporting method of writing notes must be
___________
.
a. meaningful, quantifiable, sustainable
b. sustainable, simple, quantifiable
c. meaningful, utilitarian, sustainable
d. utilitarian, meaningful, quantifiable
c. meaningful, utilitarian, sustainable
This is a tool to asses and treat balance dysfunction but does not assist to diagnose the cause of balance
dysfunction. It consists of eight test conditions used in the battery with each leg measured on two counts, the
time spent in each test position and the number of steps that a patient are performed.
a. Functional Reach
b. Berg Balance Scale
c. Fugl Meyer Sensory Assessment
d. Fregley Graybiel Ataxia Test Battery
d. Fregley Graybiel Ataxia Test Battery
A 58-year-old female is recovering from a surgical resection of an acoustic neuroma and presents with
symptoms of dizziness, vertigo, horizontal nystagmus and postural instability. To manage these problems, the
program should include
a. strengthening exercises focusing on spinal extensors
b. repetition of movements and positions that provoke dizziness and vertigo
c. Hallpike’s exercises to improve speed in movement transitions
d. prolonged bedrest to allow vestibular recovery to occur
b. repetition of movements and positions that provoke dizziness and vertigo
What is the FIRST step in controlling organizational behavior in a PT Department?
a. establish system of measuring performance
b. develop system of review
c. determine types of jobs and skills needed
d. monitor performance and provide feedback
c. determine types of jobs and skills needed
